Several conditions may be related to leg pain. Here are some examples of the conditions we are dealing with. Of course, this list is not exhaustive, so for more details, contact us.
 
01

Femoro-Patellar syndrome (chondromalacia)

Description
  • In 50% of cases, secondary injuries are due to exercise abuse.
  • Result from irritation of the outer portion of the patella following compression against the femur.
  • Accented by knee flexion movements involving the quadriceps.
  • Occurs very often in children and adolescents and almost always disappears with age.
Presentation
  • Dull pain that seems to have originated inside the knee.
  • Usually presents without trauma but may follow a knee injury.
  • Occurs when going up or down stairs after a prolonged period of sitting, kneeling, jumping or wearing high-heeled shoes.
  • Without proper treatment, this condition can become recurrent and chronic. Dislocation of the patella is possible and arthritis in the joint may develop.
Causes
  • Misalignment of the patella in the femoral groove
  • Anterior or repeated knee injuries
  • Flat or pronated feet
  • General misalignment of the lower limb
  • Abuse of exercises (syndrome “too much effort, too early”)
  • Sports involving running and jumping
  • Weakness of the quadriceps and muscles stabilizing the pelvis
  • Muscles stretched on the outside and at the back of the knee
Treatments
Goals
  • Reduction of inflammation
  • Improved dynamic ratio between femur and patella
Needs
  • Rest and change activities
  • Sports to avoid: volleyball, basketball, running, football, racquetball, squash
  • Reduced inflammation with ice and complementary therapies such as neurocryotherapy and kinesio taping.
  • Joint manipulations and soft tissue work (Active Release Techniques and Graston) to correct knee biomechanics and reduce scar tissue
  • Stretching and strengthening exercises to stabilize the knee
  • Medications (anti-inflammatories) as needed
  • Plantar orthoses and knee orthoses possible
  • Injections of cortisone as needed
  • Surgical procedures very rarely indicated

Osteoarthritis

Description

Osteoarthritis is a degenerative phenomenon attacking the cartilaginous aspect of the joints. Although this degeneration is only the fact of age, it can cause pain in some.

Osteoarthritis is a very common phenomenon in the population, especially in the over 50s. It can still start between 20 and 30 years. Men and women are affected in equal proportions.

Presentation
  • Joint stiffness
  • Decreased movements
  • Decreased flexibility
  • Noise in the joints
Favorite sites
  • Spine
  • Knees and hips (body weight)
Treatments
  • Joint manipulations and soft tissue work (Active Release Techniques and Graston) to improve mobility and reduce scar tissue
  • kinesio taping.
  • Stretching exercises
  • Strengthening exercises
  • Heat (morning stiffness)
  • Changing activities that are associated with pain
  • Medications (anti-inflammatories) as needed
  • Injections of cortisone as needed
  • Very rare surgical procedures

Bursitis

Description
  • A purse is similar to a soft, fluid-filled bag that cushions bones and soft tissues such as tendons and skin.
  • Bursitis is an inflammation of the purse.
  • Typically affected bursaries are at the shoulders, elbows, knees, pelvis, hips, heels and Achilles tendons.
  • Common problem but not serious.
Presentation
  • Pain, tension and movement limitation in the affected area, occasionally associated with pain radiating to adjacent areas.
  • Occasionally, severe pain is felt when moving the affected area.
  • The swollen pouch may be painless.
  • Possibility of fever if there is an infection.
Causes
  • Direct injury at a joint or stock exchange
  • Overload or unusual exercise involving a joint, especially running on an incline or downhill (knees)
  • Prolonged pressure on the purse (leaning on the elbows or kneeling)
  • Deposition of calcium in the tendons of the shoulder with tendon degeneration
  • Acute or chronic infection
  • Arthritis
  • Drop
Treatments
  • Rest and modification of the activities that are associated with the involved articulation
  • Reduction of inflammation with ice (20 minutes / 2 hours) and complementary therapies such as neurocryotherapy and kinesio taping.
  • Joint manipulations and soft tissue work (Active Release Techniques and Graston) to correct the biomechanics of the joint and reduce scar tissue
  • Medications (anti-inflammatories) as needed
  • Stretching exercises
  • Exercises to strengthen and stabilize the joint
  • If necessary, remove the liquid from the purse with or without cortisone injections
  • Very rare surgical procedures involving removing the purse involved
Prognosis
  • Symptoms usually decrease between 7 and 14 days.

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02

Shin Splint

Description

This common pathology affects many athletes of all levels. Runners are often affected. The most common type of shin splints is anterior tibial shin splints. It is due to an irritation of the connective tissues (the periosteum) which attaches to the tibial bone. It results from overwork that causes micro-tears and inflammation of the periosteum.

Presentation
  • Pain in the tibia during the activity.
  • The pain is present at the beginning of the activity and then disappears as the session continues.
  • The pain may come back after activity and may be worse in the morning after sunrise.
  • Painful tumefaction (hump) may occur on palpation of the inner side of the tibia.
  • This pain can become very intense and chronic.
  • A professional examination is important to eliminate a stress fracture.
Cause
  • Long duration race on hard and / or rough terrain.
  • Increase too fast activities.
  • Hyper-pronation of the foot, internal rotation of the tibia and / or retroversion of the hip.
  • worn or unsuitable shoes.
  • Hyper-supination of the foot.
  • Loss of mobility in the ankle.
Treatment
  • Rest.
  • Ice.
  • Neurocryotherapy (innovative treatment for inflammation).
  • Kinesiotaping.
  • Ultrasound and / or interferential current.
  • Graston technique.
  • A .R .T. (Active Release Technique).
  • Mobilization and / or adjustment of articular ankle restraints.
Stretches and strengthening exercises.
  • Advice on good training methods.
  • Plantar orthosis if necessary.
  • Correction of the race technique.

Ilio-tibial Band Syndrome

Description

The strip is a thick fibro-elastic membrane that starts from the hip to attach to the shin. Most of the time people will complain of pain at the lateral aspect of the knee. Sometimes it is the proximal portion that will become irritated and thus create pain in the hip.

Etiology

Strip syndrome is usually caused by excessive strip friction on the lateral femoral epicondyle causing inflammation of the tissues under the strip. This affects runners and cyclists more often.

Cause

Aberrant biomechanics during exercise can be the main cause. It can be excessive pronation of the foot, internal rotation of the tibia or retroversion of the hip. Sometimes only a lack of flexibility can be the cause. It is also possible that the person has an imbalance between the flexors and the extensors of the knee. A weakness of the hip abductors can cause stress on the knee and create the syndrome. Overtraining or increasing distances too fast during the race or cycling may be the cause.

Differential Diagnosis
  • The chiropractor will have to evaluate the following diagnoses when confirming that the person is suffering from a band syndrome.
  • The Chiromedic benefit is that therapists can not only relieve you but also find the cause to prevent recurrence. By analyzing the entire biomechanical chain from the pelvis to the foot, they will be able to arrive at the right diagnosis and the most appropriate treatment.
Treatment
  • Muscular tension may be treated by A.R.T. (Active Release Technique) or by the Graston technique.
  • Specific stretching of tight muscles and weak muscle strengthening.
  • Kinesiotaping.
  • Neurocryotherapy, a new approach to controlling inflammation.
  • Interferential current and / or ultrasound.
  • According to the analysis of manual treatments (adjustment or mobilization) to correct biomechanical dysfunctions (hip retroversion, tibial torsion, pronation of the foot).
  • Recommendation for adequate training to avoid overtraining.
  • Cortisone injections as needed.
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